In research methodology, epistemology is concerned with the question how humans generate knowledge. In facility management (FM) research, for instance, it deals with the evaluation criteria such as validity and reliability by which researchers discriminate good knowledge from bad. The objective of this paper is to add to the scholarly methodological aspects in FM research. The paper takes a postpositivist stance and pre-supposes that scholars are able to discover what happens in FM through the categorization and scientific measurement of affective responses. It applies a method by which scholars are able to develop good knowledge and by which talented bachelor students are involved in FM research.In this study 26 semi-structured interviews were conducted at nine different organizations in the Netherlands. Interviews, which focused on office environments and productivity, were conducted in pairs by Honours students. This paper reports on methodological issues of this study. Data collection and analysis by different researchers revealed serious threats to validity and reliability. Consequently an interrater agreement (IRA), measuring the degree of agreement between raters, was introduced to reveal and overcome differences in interpretations.In this paper the difficulties of achieving good agreement were considered. Adjustment between raters and clear demarcation of constructs are necessary. A synopsis of usage and reporting of qualitative interview approaches is shown.
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The hotel management agreement is a common, but arguably at times misunderstood, hotel operating structure. This study has sought to explore how both owners and hotel management companies (“operators”) perceive aspects of ownership in managed hotels. In-depth interviews were held with both operator and owner executives and it was found that, even though interviewees appeared to be aware of the nature of the relationship established by a hotel management agreement, in practice operators in particular use a working definition of the model that is more akin to a lease. Misunderstandings of the hotel management agreement can cause confusion as to where risks and responsibilities lie. Based on these findings, we argue that ownership of the operating business, in addition to that of the hotel’s real estate, deserves to be more explicitly acknowledged and addressed.
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Abstract Purpose In mental health care, patients and their care providers may conceptualize the nature of the disorder and appropriate action in profoundly diferent ways. This may lead to dropout and lack of compliance with the treatments being provided, in particular in young patients with more severe disorders. This study provides detailed information about patient–provider (dis)agreement regarding the care needs of children and adolescents. Methods We used the Camberwell Assessment of Need (CANSAS) to assess the met and unmet needs of 244 patients aged between 6 and 18 years. These needs were assessed from the perspectives of both patients and their care providers. Our primary outcome measure was agreement between the patient and care provider on unmet need. By comparing a general outpatient sample (n=123) with a youth-ACT sample (n=121), we were able to assess the infuence of severity of psychiatric and psychosocial problems on the extent of agreement on patient’s unmet care needs. Results In general, patients reported unmet care needs less often than care providers did. Patients and care providers had the lowest extents of agreement on unmet needs with regard to “mental health problems” (k=0.113) and “information regarding diagnosis/treatment” (k=0.171). Comparison of the two mental healthcare settings highlighted diferences for three-quarters of the unmet care needs that were examined. Agreement was lower in the youth-ACT setting. Conclusions Clarifcation of diferent views on patients’ unmet needs may help reduce nonattendance of appointments, noncompliance, or dropout. Routine assessment of patients’ and care providers’ perceptions of patients’ unmet care needs may also help provide information on areas of disagreement.
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Background and aim ʹ Many countries signed the Paris Agreement to mitigate global average temperature rise. In this context, Dutch government decided to realize a reduction of 50% using resources and raw materials in 2030. This paper explores how practice-based research into facility operations can contribute to this aim. Methods / Methodology ʹ Practice-based research which includes direct observations, desk research, and participatory action research. Results ʹ This explorative research presents principles and suggestions for facility managers and procurement managers on how they can embed sustainable materials management in the organisation and how to take control of waste. The proposed suggestions are derived from practice-based research and presented as topics of attention for facility professionals. Originality ʹ Within education of Dutch universities of applied sciences and daily professional facility practices, the phenomenon of materials management is underexposed. To contribute to the national and international climate objectives, (future) facility professionals need better support to reduce waste. Bachelor students were involved throughout this research. This approach gave refreshing insights into waste at the end of the supply chain (control separation units) that can improve informed decisionmaking at the beginning of the supply chain. Practical or social implications ʹ Facility management professionals have an important role to play in the mitigation of global average temperature rise, because of their leading role in procurement, service operations, and materials management. However, they struggle to find sustainable solutions. This paper seeks to inspire professionals with interventions that have proven effectiveness on the reduction of waste. Type of paper ʹ Short research paper.
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Introduction: Self-management is considered a potential answer to the increasing demand for family medicine by people suffering from a chronic condition or multi-morbidity. A key element of self-management is goal setting. Goal setting is often defined as a moment of agreement between a professional and a patient. In the self-management literature, however, goal setting is regarded as a circular process. Still, it is unclear how professionals working in family medicine can put it into practice. This background paper aims to contribute to the understanding of goal setting within self-management and to identify elements that need further development for practical use. Debate: Four questions for debate emerge in this article: (1) What are self-management goals? (2) What is necessary to accomplish the process of goal setting within self-management? (3) How can professionals decide on the degree of support needed for goal setting within self-management? (4) How can patients set their goals and how can they be supported? Implications: Self-management goals can be set for different (life) domains. Using a holistic framework will help in creating an overview of patients’ goals that do not merely focus on medical issues. It is a challenge for professionals to coach their patients to think about and set their goals themselves. More insight in patients’ willingness and ability to set self-management goals is desirable. Moreover, as goal setting is a circular process, professionals need to be supported to go through this process with their patients.
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Reliability in decision making about intervention plans is a necessary condition for evidence-based probation work and equal treatment of offenders. Structuring decision making can improve agreement between clinical decision makers. In a former study however, we found that in Dutch probation practice structured risk and needs assessment did not result in acceptable agreement about intervention plans. The Dutch probation services subsequently introduced a tool for support in decision making on intervention plans. This article addresses the question whether the use of this tool results in better agreement between probation officers. A significant and meaningful improvement in agreement was found on all domains of the intervention plan. Implications for probation practice are discussed
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The main question in this PhD thesis is: How can Business Rules Management be configured and valued in organizations? A BRM problem space framework is proposed, existing of service systems, as a solution to the BRM problems. In total 94 vendor documents and approximately 32 hours of semi-structured interviews were analyzed. This analysis revealed nine individual service systems, in casu elicitation, design, verification, validation, deployment, execution, monitor, audit, and version. In the second part of this dissertation, BRM is positioned in relation to BPM (Business Process Management) by means of a literature study. An extension study was conducted: a qualitative study on a list of business rules formulated by a consulting organization based on the Committee of Sponsoring Organizations of the Treadway Commission risk framework. (from the summary of the Thesis p. 165)
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In this thesis several studies are presented that have targeted decision making about case management plans in probation. In a case management plan probation officers describe the goals and interventions that should help offenders stop reoffending, and the specific measures necessary to reduce acute risks of recidivism and harm. Such a plan is embedded in a judicial framework, a sanction or advice about the sanction in which these interventions and measures should be executed. The topic of this thesis is the use of structured decision support, and the question is if this can improve decision making about case management plans in probation and subsequently improve the effectiveness of offender supervision. In this chapter we first sketch why structured decision making was introduced in the Dutch probation services. Next we describe the instrument for risk and needs assessment as well as the procedure to develop case management plans that are used by the Dutch probation services and that are investigated in this thesis. Then we describe the setting of the studies and the research questions, and we conclude with an overview of this thesis.
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Energiebeheer gericht aanpakken, Het analyseren van doelstellingen, resultaten en impacts van energie- en broeikasgasbeheersprogramma’s in bedrijven (met een samenvatting in het Nederlands): De wereldwijde uitstoot van broeikasgassen moet drastisch worden teruggebracht om de mondiale stijging van de temperatuur tot het relatief veilige niveau van maximaal 2 graden Celsius te beperken. In de komende decennia zal de verbetering van de energie-efficiëntie de belangrijkste strategie zijn voor het verminderen van de energiegerelateerde uitstoot van broeikasgassen. Hoewel er een enorm potentieel is voor verbetering van de energie-efficiëntie, wordt een groot deel daarvan nog niet benut. Dit wordt veroorzaakt door diverse investeringsbarrières die de invoering van maatregelen voor energie-efficiëntie verbetering verhinderen. De invoering van energiemanagement wordt vaak beschouwd als een manier om dergelijke barrières voor energiebesparing te overwinnen. De invoering van energiemanagement in bedrijven kan worden gestimuleerd door de introductie van programma's voor energie-efficiëntie verbetering en vermindering van de uitstoot van broeikasgassen. Deze programma's zijn vaak een combinatie van verschillende elementen zoals verplichtingen voor energiemanagement; (ambitieuze) doelstellingen voor energiebesparing of beperking van de uitstoot van broeikasgassen; de beschikbaarheid van regelingen voor stimulering, ondersteuning en naleving; en andere verplichtingen, zoals openbare rapportages, certificering en verificatie. Tot nu toe is er echter beperkt inzicht in het proces van het formuleren van ambitieuze doelstellingen voor energie-efficiëntie verbetering of het terugdringen van de uitstoot van broeikasgassen binnen deze programma's, in de gevolgen van de invoering van dergelijke programma's op de verbetering van het energiemanagement, en in de impact van deze programma's op energiebesparing of de vermindering van de uitstoot van broeikasgassen. De centrale onderzoeksvraag van dit proefschrift is als volgt geformuleerd: "Wat is de impact van energie- en broeikasgasmanagement programma’s op het verbeteren van het energiemanagement in de praktijk, het versnellen van de energieefficiëntie verbetering en het beperken van de uitstoot van broeikasgassen in bedrijven?".
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Wanneer een beslisarchitectuur is geformuleerd, dan is daarna vaak de vraag hoe iedere individueel gespecificeerde beslissing uitgewerkt dient te worden. Gaan we voor een beslissing elk van de onderliggende bedrijfsregels volledig specificeren? Dient er een predictive analytics engine te komen of is het beter om een mens de beslissing te laten nemen?
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